NPIMap

Organization Active NPI

Holzapfel & Lied Plastic Surgery Center PSC

  • Ambulatory Surgical Clinic/Center
  • Edgewood, KY
National Provider Identifier
1043356504
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
HOLZAPFEL & LIED PLASTIC SURGERY CENTER PSC
Practice address
133 Barnwood Dr
Edgewood, KY 41017-2500
Phone
(859) 331-9600
Fax
(859) 578-3321
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sabrina Bartruff
Title
Medical Biller
Phone
(859) 331-9600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X KY Primary

Addresses

Primary practice location

133 Barnwood Dr
Edgewood, KY 41017-2500

Mailing address

133 Barnwood Dr
Edgewood, KY 41017-2500
Phone (859) 331-9600

Other names 1

  • Mangat, Holzapfel & Lied Plastic Surgery Center PSC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050516000397 KY Part B Supplier - Clinic/Group Practice 0941251458 Receives reassigned benefits from 6 practitioners
Practice locations: Edgewood, KY

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Holzapfel and Lied Plastic Surgery Center PSC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8044 Montgomery Rd
Cincinnati, OH 45236
Phone (513) 440-3866

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596153600000",
    "number": "1043356504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 BARNWOOD DR",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410172500",
            "telephone_number": "859-331-9600",
            "fax_number": "859-578-3321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 BARNWOOD DR",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410172500",
            "telephone_number": "859-331-9600",
            "fax_number": "859-578-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLZAPFEL & LIED PLASTIC SURGERY CENTER PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A",
        "authorized_official_last_name": "BARTRUFF",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "859-331-9600"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mangat, Holzapfel & Lied Plastic Surgery Center PSC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Edgewood, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.